![Page 1: CARMEN Policy Observatory and Dialogue Proposal](https://reader036.vdocuments.mx/reader036/viewer/2022062314/56813cbb550346895da667b1/html5/thumbnails/1.jpg)
CARMEN Policy Observatory and
Dialogue Proposal
Presentation to the CARMEN Directing Board Meeting
San Juan, Puerto Rico 30 June 2003
![Page 2: CARMEN Policy Observatory and Dialogue Proposal](https://reader036.vdocuments.mx/reader036/viewer/2022062314/56813cbb550346895da667b1/html5/thumbnails/2.jpg)
2
Key Challenges for CARMEN
Bring NCD prevention to the forefront of the discussion on social and economic policy development
Facilitate and support national NCD policy
![Page 3: CARMEN Policy Observatory and Dialogue Proposal](https://reader036.vdocuments.mx/reader036/viewer/2022062314/56813cbb550346895da667b1/html5/thumbnails/3.jpg)
3
CARMEN as an Action-Oriented Initiative
Main levels of action for a public health approach for NCD
Policy Community Health Services
![Page 4: CARMEN Policy Observatory and Dialogue Proposal](https://reader036.vdocuments.mx/reader036/viewer/2022062314/56813cbb550346895da667b1/html5/thumbnails/4.jpg)
4
CARMEN as a repository of intervention knowledge
Focus on evaluation
Pool and wealth of intervention knowledge at the 3 levels of action
To be further evaluated and exploited
• Learning about good practices
Potential Platform for NCD Policy Research Provides access to expertise in policy research and to channels for NCD delivery of policies and programs among countries.
![Page 5: CARMEN Policy Observatory and Dialogue Proposal](https://reader036.vdocuments.mx/reader036/viewer/2022062314/56813cbb550346895da667b1/html5/thumbnails/5.jpg)
5
CARMEN as a Network
Readily available dissemination channel on lessons learned among
countries
Case stories from demonstration areas can be used
To raise visibility / profile
To obtain political and public support
![Page 6: CARMEN Policy Observatory and Dialogue Proposal](https://reader036.vdocuments.mx/reader036/viewer/2022062314/56813cbb550346895da667b1/html5/thumbnails/6.jpg)
6
Roadblocks facing CARMEN
Lack of political support for NCD prevention
Less than 50% of WHO Member States have established national NCD prevention policies and plans
Less than 40% for the Americas
![Page 7: CARMEN Policy Observatory and Dialogue Proposal](https://reader036.vdocuments.mx/reader036/viewer/2022062314/56813cbb550346895da667b1/html5/thumbnails/7.jpg)
7
Ref: Assessment of National Capacity for Noncommunicable Disease Prevention and Control. WHO 2002
![Page 8: CARMEN Policy Observatory and Dialogue Proposal](https://reader036.vdocuments.mx/reader036/viewer/2022062314/56813cbb550346895da667b1/html5/thumbnails/8.jpg)
8
![Page 9: CARMEN Policy Observatory and Dialogue Proposal](https://reader036.vdocuments.mx/reader036/viewer/2022062314/56813cbb550346895da667b1/html5/thumbnails/9.jpg)
9
Health Canada, through its WHO Collaborating Centre on NCD Policy facilitated 2 comparative studies (1994 and 2000) on policy development and implementation processes.
27 CINDI countries and 3 CARMEN countries participated
Results provide useful guidance on policy gaps and challenges
![Page 10: CARMEN Policy Observatory and Dialogue Proposal](https://reader036.vdocuments.mx/reader036/viewer/2022062314/56813cbb550346895da667b1/html5/thumbnails/10.jpg)
10
Some key findings: Strategic issues to be addressed by CINDI/CARMEN
Increased focus on population approaches
Better marketing of NCD programs
Case studies should be better exploited as advocacy tools
Challenge of moving from demonstrations to countrywide, and to integrate into national health systems
Untapped opportunities for CINDI and CARMEN as research observatories for best practices
Potential of CINDI and CARMEN as linkage agents with other health promotion and disease prevention initiatives.
![Page 11: CARMEN Policy Observatory and Dialogue Proposal](https://reader036.vdocuments.mx/reader036/viewer/2022062314/56813cbb550346895da667b1/html5/thumbnails/11.jpg)
CARMEN Policy Observatory Proposal
Joint initiative between the WHO Collaborating Centre on NCD
Policy (Canada) and PAHO
![Page 12: CARMEN Policy Observatory and Dialogue Proposal](https://reader036.vdocuments.mx/reader036/viewer/2022062314/56813cbb550346895da667b1/html5/thumbnails/12.jpg)
12
Building on investments and experience to date…
WHO Collaborative Centre on NCD Policy
Prior policy comparative studies
Qualitative research expertise
Ongoing NCD policy working group for CINDI centres.
![Page 13: CARMEN Policy Observatory and Dialogue Proposal](https://reader036.vdocuments.mx/reader036/viewer/2022062314/56813cbb550346895da667b1/html5/thumbnails/13.jpg)
13
Policy Observatory for Latin America and the Caribbean
PAHO / WHO
Centre for Chronic Disease Prevention and Control
Member States
Academic Institutions
NGOs, etc.
Provide a knowledge base and analytical support to policy-makers
Comparative NCD policy analysis
Bridge between evidence and policy makers’ needs
Develop tools and practical recommendations
POTENTIAL PARTNERS AIM
![Page 14: CARMEN Policy Observatory and Dialogue Proposal](https://reader036.vdocuments.mx/reader036/viewer/2022062314/56813cbb550346895da667b1/html5/thumbnails/14.jpg)
14
Why a Policy Observatory for Latin America and the Caribbean?
Common NCD Policy Challenges across the region
Scarce evidence on the actual effectiveness of NCD policies
Ideology-rich but knowledge poor
Available information lacks relevance for policy-makers and agencies
![Page 15: CARMEN Policy Observatory and Dialogue Proposal](https://reader036.vdocuments.mx/reader036/viewer/2022062314/56813cbb550346895da667b1/html5/thumbnails/15.jpg)
15
Goals of the Observatory
Support and promote evidence-based health policy making through comprehensive analysis of NCD policy development and implementation processes
Expand the necessary technical capabilities for NCD policy analysis and evaluation in the Region to provide evidence base to support decision making process
Bring NCD prevention at the forefront of policy discussions and increase visibility and political support
![Page 16: CARMEN Policy Observatory and Dialogue Proposal](https://reader036.vdocuments.mx/reader036/viewer/2022062314/56813cbb550346895da667b1/html5/thumbnails/16.jpg)
16
Key Objectives
To facilitate the introduction of policies for the prevention of NCDs in government and social development programs
To technically improve the formulation and implementation of NCD policies
To boost technical capacity in the countries
e.g. analysis and evaluation of public policies for the prevention of NCD in Latin America and the Caribbean
![Page 17: CARMEN Policy Observatory and Dialogue Proposal](https://reader036.vdocuments.mx/reader036/viewer/2022062314/56813cbb550346895da667b1/html5/thumbnails/17.jpg)
17
Key Objectives To generate relevant information for the design,
formulation, and implementation of public policies for the prevention of NCDs
To adopt and adapt methodologies for policy analysis in the Region to facilitate their frequent use in decision-making
To promote the formulation of policies that advocate NCD prevention in the Region
To facilitate technical cooperation among countries
![Page 18: CARMEN Policy Observatory and Dialogue Proposal](https://reader036.vdocuments.mx/reader036/viewer/2022062314/56813cbb550346895da667b1/html5/thumbnails/18.jpg)
NCD PolicyNCD PolicyObservatoryObservatory
Clear
inghou
se
Clear
inghou
se
Dissem
ination
Dissem
inationPolicy Policy
AnalysisAnalysis
MonitoringMonitoring
Training
Training
![Page 19: CARMEN Policy Observatory and Dialogue Proposal](https://reader036.vdocuments.mx/reader036/viewer/2022062314/56813cbb550346895da667b1/html5/thumbnails/19.jpg)
19
Activities & Products
Country Information & Monitoring
NCD Policy Profiles for Countries in the Region
Clearinghouse
Collection and classification of scientific and “grey” information on key policy issues and individual country experiences
![Page 20: CARMEN Policy Observatory and Dialogue Proposal](https://reader036.vdocuments.mx/reader036/viewer/2022062314/56813cbb550346895da667b1/html5/thumbnails/20.jpg)
20
Activities & Products Analytical studies on NCD Policies
Cross-country sub regional comparisons through case studies and qualitative research
Dissemination Activities
Websites
Publication
Policy forums
Training
![Page 21: CARMEN Policy Observatory and Dialogue Proposal](https://reader036.vdocuments.mx/reader036/viewer/2022062314/56813cbb550346895da667b1/html5/thumbnails/21.jpg)
21
A First Step
Case studies of
Public policies aimed at prevention and control of the most important risk factors for NCDs such as smoking, nutrition and physical inactivity
Establishment of a technical working group with interested countries
Timetable
Completion of case studies by end of 2004
![Page 22: CARMEN Policy Observatory and Dialogue Proposal](https://reader036.vdocuments.mx/reader036/viewer/2022062314/56813cbb550346895da667b1/html5/thumbnails/22.jpg)
22
Next Steps
Expand to other networks, e.g. CINDI
Additional themes for analysis
Dissemination, publications, web-based tools
Policy dialogues / forums, etc.